Austin Professional Dental

NPI 1194021154 - Dentist - 1223G0001X

NPI Details
NPI 1194021154
Enumeration Date 02/08/2011
Last Updated 02/08/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name JAZMIN JAZMIN
Position EXECUTIVE ASSISTANT
Phone (512) 233-6825
Fax
Practice Location
615 W SLAUGHTER LN
SUITE 117
AUSTIN TX, 78748-2094, US
Phone (512) 233-6825
Fax
Business Location
5400 LYNDON B JOHNSON FWY
SUITE 944
DALLAS TX, 75240-1000, US
Phone (972) 982-8490
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Texas
License Number 22958
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According to our database, Austin Professional Dental NPI is 1194021154, taxonomy code is 1223G0001X and license number is 22958, license state is located at Texas. Austin Professional Dental physically located at 615 W Slaughter Ln, Austin TX, 78748-2094. NPI Number 1033115704 has the healthcare provider type.

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1194021154 NPI number is provided on an as is basis without warranty of any kind. 1194021154 is maintained by the National Plan & Provider Enumeration System. The contents of Austin Professional Dental are for informational purposes only.